Endovascular treatment of intrarenal aneurysms bleeding and angiomyolipomas in a patient with tuberous sclerosis and polycystic kidney disease

Author:

Leite Túlio1ORCID,Pazinato Lucas Vatanabe1ORCID,Vidal Maria Juliana de Aquino2ORCID,Freitas Danielo de2,Leal Filho Joaquim Mauricio da Motta1ORCID

Affiliation:

1. Universidade de São Paulo, Brasil

2. Hospital Santa Genoveva, Brasil

Abstract

Abstract Tuberous sclerosis complex (TSC) and autosomal dominant polycystic kidney disease (ADPKD) are conditions related to renal failure that can rarely occur in association as a contiguous gene syndrome. Angiomyolipomas (AMLs) are renal tumors strongly related to TSC that may rupture and cause life-threatening bleedings. We present a patient with TSC, ADPKD, and renal AMLs with persistent hematuria requiring blood transfusion. The persistent hematuria was successfully treated through endovascular embolization, a minimally invasive nephron sparing technique.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference18 articles.

1. Tuberous sclerosis complex with polycystic kidney disease of the adult type: the TSC2/ADPKD1 contiguous gene syndrome;Bisceglia M;Int J Surg Pathol,2008

2. Tuberous sclerosis complex with autosomal dominant polycystic kidney disease: a rare duo;Rijal JP;BMJ Case Rep,2014

3. From tuberous sclerosis complex to end stage renal disease: who are these patients?;Vabret E;Journal of Nephrology,2020

4. Sangrado de angiomiolipoma renal en paciente con síndrome de genes contiguos (TSC2/PKD1) tras 17 años de tratamiento renal sustitutivo;Furlano M;Nefrología,2017

5. Genetic complexity of autosomal dominant polycystic kidney and liver diseases;Cornec-Le Gall E.;Journal of the American Society of Nephrology,2018

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